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Jingdong book

呼吸疾病戒烟治疗

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呼吸疾病戒烟治疗

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吸烟是导致人体发生多种疾病如慢性阻塞性肺疾病(COPD)、肺部肿瘤、冠心病、高血压、周围血管炎、口腔癌等关键危险因素,其中与呼吸系统疾病的发生、发展关系更为密切。戒烟是最重要的干预措施,在一级预防与二级预防中均有重要的意义,不仅可有效预防疾病的发生,还可以改善预后,并能够显著提高患者的生活质量。然而对于戒烟治疗,受传统观念的影响和既往治疗方法的局限,始终未能在临床得到充分开展。《呼吸疾病戒烟治疗》从吸烟与呼吸系统疾病、动机干预和药物治疗等方面给予详细论述,并结合患者常见的具体问题分别解答,从而帮助呼吸科一线临床医生促进患者戒烟、指导戒烟治疗,提高治疗成功率,并进一步提高呼吸系统基础性疾病治疗的疗效。
Catalogue

第一章 吸烟与呼吸系统疾病
第一节 烟草烟雾的有害成分及其危害
第二节 吸烟与慢性阻塞性肺疾病
第三节 吸烟与支气管肺癌
第四节 吸烟与支气管哮喘
第五节 吸烟与呼吸道感染
第六节 吸烟与问质性肺疾病

第二章 吸烟与戒烟动机干预
第一节 尼古丁依赖症
第二节 戒烟对呼吸系统疾病的益处
第三节 干预精神及劝诫技巧
第四节 如何定义戒烟成功

第三章 戒烟药物的选择与疗程
第一节 尼古丁替代疗法
第二节 缓释盐酸安非他酮
第三节 伐尼克兰
第四节 药物治疗与传统干戒的比较

第四章 呼吸科戒烟门诊的设置和工作流程
第一节 门诊戒烟与戒烟门诊
第二节 戒烟门诊的设置和工作流程
第三节 综合医院多学科协作戒烟模式

第五章 劝诫实例分析
实例一 戒断综合征
实例二 戒烟迟发性焦虑
实例三 被动吸烟的劝诫
实例四 哮喘劝诫
实例五 劝医生戒烟特别难
实例六 有时“最佳”戒烟时间也可例外
实例七 如何对付“老顽固”

第六章 呼吸科戒烟门诊中患者常见问题及解答
第一节 为何戒烟
第二节 如何戒烟
第三节 防止复吸

附录
1.尼古丁依赖程度量表(Fagerstrom烟碱依赖量表)
2.吸烟渴求简易问卷(QSU-Brief)
3.明尼苏达尼古丁戒断症状量表(MNWS)
4.综合医院焦虑/抑郁(HAD)情绪测定表
Book Abstract

科学证据已十分确定地证实,暴露于烟草烟雾可损害人体呼吸系统、心血管系统、神经肌肉系统、内分泌系统、消化系统等众多器官和组织,导致疾病、残疾甚至死亡。
根据2011年世界卫生组织全球烟草流行报告,烟草使用是导致全球可预防死亡的首要死因。每年,它导致全球近600万人死亡并造成数千亿元的经济损失。绝大多数的死亡发生在低收入和中等收入国家,而预计这一不平等状况将在未来数十年中持续扩大。如果当前的趋势继续下去,到2030年时,全世界每年因烟草导致的死亡将超过800万人,其中80%的过早死亡将发生在低收入和中等收入国家。通观21世纪,若不采取紧急行动,烟草使用将使十亿人甚至更多人失去生命。
中国是世界上最大的烟草生产国和消费国,全国约有3.5亿吸烟者,全球每3个吸烟者中就有1个是中国人。2010年的全国吸烟流行病学调查数据显示,男性吸烟率为52.9%,女性吸烟率为2.4%。比较1984年、1996年、2002年和2010年的数据表明,尽管人们的吸烟率有所下降,但依然维持在很高水平,而且吸烟者的年龄不断提前,被动吸烟状况也没有任何改善。我国参与的全球青少年烟草调查结果显示:青少年在家中和公共场所受二手烟危害的比例高达43.9%和55.8%。卫生部2006年的中国慢性病报告指出,我国每年由吸烟导致的死亡人数近100万,超过艾滋病、结核、交通事故以及自杀死亡人数的总和,占全部死亡的12%。
……

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